A description of a community-based treatment program designed to address physical health issues associated with severe and persistent mental illness

2017 ◽  
Vol 13 (1) ◽  
pp. 31
Author(s):  
Ron Tankel, BS, CTRS
Keyword(s):  
Mental Illness ◽  
Physical Health ◽  
Group Process ◽  
Health Program ◽  
Mental Health Program ◽  
Health And Wellness ◽  
Health Issues ◽  
Community Based ◽  
Persistent Mental Illness ◽  
Supportive Group

This article describes the ongoing impact of a community-based mental health program to address physical health issues associated with severe and persistent mental illness (SPMI). This program developed over a period of 6 years in response to clients' increased participation and motivation. As participants' level of physical wellness improved, there was a demand for more advanced and varied levels of activity. This article demonstrates that people with SPMI responded positively to a structured and supportive group process for improving physical health and wellness.

scholarly journals Heard, known and safe in general practice? An interview study with patients with severe and persistent mental illness

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0201
Author(s):  
Nancy Jennifer Sturman ◽  
Ryan Williams ◽  
Marianne Wyder ◽  
Johanna Lynch
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Practice ◽  
Physical Health ◽  
Mental Healthcare ◽  
Health Issues ◽  
Structured Interviews ◽  
Convenience Sample ◽  
Persistent Mental Illness ◽  
Community Mental Health Clinics

BackgroundAlthough GPs provide care to many patients with severe and persistent mental illness, the role and skillset of the GP in this space are contested. Patients are less satisfied with GP care of mental health than physical health issues.AimTo explore patient expectations and experiences of GP roles in their mental health, and identify opportunities for improving mental health care in general practice.Design & settingPatient participants were recruited from community mental health clinics in Brisbane, Australia.MethodIndividual semi-structured interviews were conducted with a convenience sample of patients. Interviews were audio-recorded and transcribed professionally. The authors conducted an inductive thematic analysis, attending to participant vulnerability and reflexivity.Results16 interviews were conducted by one author (RW), average duration 29 minutes. Three overarching themes were identified: being heard; being known; and being safe. Participants greatly valued ‘good GPs’ who were able to detect early signs of relapse, and with whom they came to feel heard, known and safe over time. Experiences of perfunctory, hurried care and avoidance of mental health issues were also reported. Many participants were uncertain whether GP training in mental health was sufficient to keep them safe. Patients may suspect negative attitudes to mental illness in GPs who actively engage predominantly with their physical health.ConclusionSome GPs play central roles in patients’ mental healthcare. Barriers for others need further exploration, and may include time, confidence and/or expertise. Findings challenge GPs to engage more actively and effectively with these patients in theirgeneral practice consultations.

An update of a physical health community-based treatment program for clients with severe and persistent mental illness

2017 ◽  
Vol 15 (4) ◽  
pp. 7
Author(s):  
Ron Tankel, BS, CTRS
Keyword(s):  
Mental Illness ◽  
Physical Health ◽  
Treatment Program ◽  
Recreation Therapy ◽  
Community Based ◽  
Persistent Mental Illness ◽  
Health Community

This article revisits the case study of a program published in the American Journal of Recreation Therapy (December 2014. Vol. 13, Number 1, pp. 31-35) and describes how the program has evolved in the last 2 years. We have found that motivation on the part of clients has been maintained and have implemented additional programming to meet the needs of clients.

scholarly journals Developing a Community-Based Tailored Exercise Program for People With Severe and Persistent Mental Illness

2015 ◽  
Vol 9 (2) ◽  
pp. 213-227 ◽  
Author(s):  
Kamden D. Hoffmann ◽  
Adrienne Walnoha ◽  
Jennifer Sloan ◽  
Praewpannarai Buddadhumaruk ◽  
Hsin-Hui Huang ◽  
...  
Keyword(s):  
Mental Illness ◽  
Exercise Program ◽  
Community Based ◽  
Persistent Mental Illness

scholarly journals An Evaluation of the Implementation of a Court Outreach Program for People With Severe and Persistent Mental Illness Who Are Legally Involved

2010 ◽  
Vol 29 (S5) ◽  
pp. 139-156
Author(s):  
John Sylvestre ◽  
Tim Aubry ◽  
Jaclynne Smith ◽  
Todd Bridger
Keyword(s):  
Mental Illness ◽  
Assessment Process ◽  
Outreach Program ◽  
Mental Health Systems ◽  
Community Based ◽  
Intake Assessment ◽  
Implementation Evaluation ◽  
Persistent Mental Illness ◽  
People With Mental Illness ◽  
Community Supports

This paper describes an implementation evaluation of a Court Outreach Program that provides outreach and community-based treatment and support to people with mental illness in the legal system. The paper describes the Court Outreach Program and presents evaluation findings. Program strengths included competent and knowledgeable court outreach staff who contribute to the legal and mental health systems and provide access for clients to a range of community supports and treatments. Challenges included a limited program capacity to serve all potential clients and bottlenecks in the intake/assessment process. Recommendations are made to improve the implementation of the program.

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